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乳牙固连的病因机制与临床诊疗策略OA

Etiopathogenesis and clinical management strategies for ankylosis of primary teeth

中文摘要英文摘要

乳牙固连是由遗传、局部因素等共同作用下导致的牙骨质与牙槽骨融合,影像学表现为牙周膜间隙丧失,临床表现为乳牙下沉.乳牙固连不仅影响局部牙槽骨的发育,还可能引发一系列并发症,如咬合紊乱、龋病、牙周疾病等,影响口颌功能与美观.早期正确诊断和及时管理乳牙固连是必要的,其治疗策略强调多学科合作及个性化制定,需综合考虑继承恒牙的有无、乳牙下沉程度、患儿生长发育阶段及咬合情况等诸多因素.文章系统阐述乳牙固连的病因机制、诊断要点及综合管理策略,旨在为临床实践提供参考.

Ankylosis of primary tooth results from the combined effects of genetic and local factors,characterized by fusion between cementum and alveolar bone.Radiographical-ly,it presents as a loss of local periodontal ligament space,and clinically,it manifests as"submerged deciduous teeth".It not only affects the development of the alveolar bone but may also lead to a series of complications such as malocclusion,dental caries,and periodontal diseases,compromising orofa-cial function and esthetics.Early and accurate diagnosis,along with timely management of primary tooth ankylosis,is essential.Treatment strategies emphasize multidisciplinary collaboration and personalized planning,taking into account various factors including the presence or absence of successor permanent teeth,the degree of primary tooth submergence,the child's growth and development stage,and occlusal status.This article systematically elaborates on the etiopathogenesis,key diagnostic points,and comprehensive management strate-gies for ankylosis of primary teeth,aiming to provide a refer-ence for clinical practice.

尹茂运;丁振江;陈旭

中国医科大学口腔医学院·附属口腔医院儿童口腔科,辽宁省口腔疾病临床医学研究中心,辽宁沈阳 110002中国医科大学口腔医学院·附属口腔医院儿童口腔科,辽宁省口腔疾病临床医学研究中心,辽宁沈阳 110002中国医科大学口腔医学院·附属口腔医院儿童口腔科,辽宁省口腔疾病临床医学研究中心,辽宁沈阳 110002

医药卫生

乳牙固连病因机制临床诊疗策略多学科合作

ankylosis of primary toothetiopathogenesisclinical management strategiesmultidisciplinary collaboration

《中国实用口腔科杂志》 2026 (4)

430-434,5

辽宁省科技计划联合计划项目(自然科学基金-面上项目)(2025-MSLH-736)

10.19538/j.kq.2026.04.007

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